Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Diyaliz Tedavisi Alan ve Böbrek Nakli Olan Hastaların ve Yakınlarının Süreç Deneyimleri: Fenomenolojik Kalitatif Bir Çalışma
Process Experiences of Patients Receiving Dialysis Treatment and Renal Transplantation and Their Relatives: A Phenomenological Qualitative Study
Rukiye BURUCUa, Zehra ALANYALIb, Yavuz AYARc
aNecmettin Erbakan Üniversitesi Seydişehir Kamil Akkanat Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği ABD, Konya, Türkiye
bBursa Şehir Hastanesi, Radyasyon Onkoloji Kliniği, Bursa, Türkiye
cBursa Şehir Hastanesi, Nefroloji Kliniği, Bursa, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(1):160-70
doi: 10.5336/nurses.2021-82242
Article Language: TR
Full Text
ÖZET
Amaç: Kronik böbrek yetmezliği sadece hastayı değil hastanın çevresindeki tüm insanları, iş ve aile hayatını bir bütün olarak etkilemektedir. Hastalığın her evresi, hem hasta hem de hasta yakını için zorluklarla dolu, yorucu ve yıpratıcıdır. Hasta yakını hastasına bakmak, kendinden ödün vermek, maddi sorunlara çözüm üretmek zorunda kalmaktadır. Hasta ise kendi yaşadığı fizyolojik problemlerin yanında daha farklı sorunlarla baş etmeye çalışmaktadır. Bu süreçte hasta ve hasta yakınlarının sorunlarının çözümü için farklı gereksinimleri ve beklentileri bulunur. Bu beklentilerinin pek çoğuna hemşireler tarafından bütüncül yaklaşımla çözüm üretilmesi gerekmektedir. Bu çalışma, hasta ve hasta yakınlarının tedavi süreçlerinde yaşadıklarını ve hemşirelerden beklentilerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışma, nitel araştırma formatında yapılmış, fenomenolojik yaklaşım kullanılmıştır. Veriler odak grup görüşmesi ile toplanmış, nitel veriler Collaizi'nin fenomenolojik yaklaşımına göre analiz edilmiştir. Araştırma, Nitel Araştırma Raporlama Standartları kontrol listesine uygun olarak yürütülmüş ve raporlanmıştır. Bulgular: Toplam 47 katılımcıdan 274 görüş ve öneri elde edilmiştir. Bunlar 4 ana ve 13 alt tema olarak gruplanmıştır. Hasta ve hasta yakınlarının en çok tedavinin başladığı süreçte desteğe gereksinim duydukları görülmüştür. Yaşadıkları sorunlardan bazıları; mutsuzluk, yorgunluk, kaygı, psikolojik ve maddi yetersizliklerdir. En fazla eğitim gereksinimi duyduklarını belirtmiş ve hemşirelere empatik ve özenli yaklaşmalarını önermişlerdir. Sonuç: Diyaliz tedavisi alan/böbrek nakli olan hasta ve hasta yakınlarının birlikte ele alınması, tedavinin başından itibaren desteklenmeleri, özellikle hemşireler tarafından eğitim verilmesi ve özenli yaklaşılması önemlidir.

Anahtar Kelimeler: Kronik böbrek yetmezliği; diyaliz; böbrek nakli; aile; hemşirelik; insan deneyimi
ABSTRACT
Objective: Chronic renal disease affects not only the patient, but also all the people around the patient, as well as work and family life as a whole. Each stage of the disease is difficult, tiring and exhausting for both the patient and their relatives. Patient's relatives have to take care of their patients, compromise on their own, and find solutions to financial problems. The patient, on the other hand, tries to cope with different problems besides his own physiological problems. In this process, patients and their relatives have different needs and expectations to solve their problems. Nurses should find solutions to many of these expectations with a holistic approach. This study was conducted to determine the experiences of patients and their relatives during the treatment process and their expectations from nurses. Material and Methods: The study was conducted in a qualitative research format, and the phenomelogical approach was used. The data were collected through a focus group meeting, and qualitative data were analyzed according to Collazi's phenomenological approach. The research was conducted and reported in accordance with the Standards for Reporting Qualitative Research checklist. Results: 274 opinions and suggestions were obtained from a total of 47 participants. These are grouped into four main and thirteen subthemes. It was observed that patients and their relatives most needed support at the beginning of the treatment. Some of the problems they have experienced; unhappiness, fatigue, anxiety, psychological and financial inadequacies. They stated that they needed the most training and recommended an empathetic and attentive approach to nurses. Conclusion: It is important to deal with patients and their relatives who have undergone dialysis treatment/kidney transplantation together, to be supported from the beginning of the treatment, especially to be educated by nurses and to be attentive.

Keywords: Chronic kidney diseases; dialysis; renal transplantation; family; nursing; human experimentation
REFERENCES:
  1. Shahgholian N, Yousefi H. Supporting hemodialysis patients: A phenomenological study. Iran J Nurs Midwifery Res. 2015;20(5): 626-33. [Crossref]  [PubMed]  [PMC] 
  2. Akyuz Ozdemir A, Ayvazoglu Soy EH, Erdal R. Being a hemodialysis patient-is it a disruption in life? Annals of Medical Research. 2019;26(5):778-82. [Crossref] 
  3. Doğan M, Dikeç G. Comparing anxiety and depression level of parents of children who undergoing surgery in an univerty hospital. ACU Sağlık Bil Derg. 2020;12(1):50-8. [Crossref] 
  4. Doğan BK, Öztürk A. Kronik böbrek yetmezliği olan hastalar ile sosyal destek algısını geliş tirmeye yönelik grup çalışması [Group work to improve social support perception with chronic kidney failure patients]. Türkiye Sosyal Hizmet Araştırmaları Dergisi. 2020;4(3):28-36. [Link] 
  5. Rabiei L, Eslami AA, Abbasi M, Afzali SM, Hosseini SM, Masoudi R. Evaluating the effect of family-centered intervention program on care burden and self-efficacy of hemodialysis patient caregivers based on social cognitive theory: a randomized clinical trial study. Korean J Fam Med. 2020;41(2):84-90. [Crossref]  [PubMed]  [PMC] 
  6. Bennett PN, Hussein WF, Reiterman M, Yu J, Schiller B. The effects of laughter therapy on depression symptoms in patients undergoing center hemodialysis: A pragmatic randomized controlled trial. Hemodial Int. 2020;24(4):541-9. [Crossref]  [PubMed] 
  7. Özkan Tuncay F, Kars Fertelli T. Kronik böbrek yetmezliği olan bireylerde bakım bağımlılığı ve ilişkili faktörler [Care dependency and related factors in patients with chronic renal failure]. Kocaeli Med J. 2020;9(1):32-40. [Crossref] 
  8. Ong ZH, Ng CH, Tok PL, Kiew MJX, Huso Y, Shorey S, et al. Sources of distress experienced by parents of children with chronic kidney disease on dialysis: a qualitative systematic review. J Pediatr Nurs. 2020;57:11-7. [Crossref]  [PubMed] 
  9. Keskin A, Özpulat F. Kronik böbrek yetmezliği tanısıyla hemodiyaliz tedavisi uygulanan hastaların yaşadıkları güçlükler [Difficulties experienced by patients who receive hemodialysis treatment due to chronic renal failure]. Sağlık ve Toplum. 2019;29(1):32-43. [Link] 
  10. Demirbilek H, Nalçacı S, Taş D, Tanay Akgün E, Parmaksız E, Külah E. Doğru nefes alarak, diyaliz kaygısını azaltabilir miyiz? [Can we reduce dialysis anxiety by proper breathing?]. Nefroloji Hemşireliği Dergisi. 2019;14(3):97-102. [Link] 
  11. Morais EM, Moreira PR, Winkelmann ER. Movie watching during dialysis sessions reduces depression and anxiety and improves quality of life: A randomized clinical trial. Complement Ther Med. 2020;52:102488. [Crossref]  [PubMed] 
  12. Zhang R, Jia J, Zhang D, Zhao X. Association between fatigue and depressive symptoms among kidney transplantation recipients: The mediating role of rumination. J Adv Nurs. 2019;75(12):3602-8. [Crossref]  [PubMed] 
  13. Ceyhun H, Kırpınar İ. Psychiatric diagnoses in patients with renal transplantation or dialysis made due to end stage renal disease. Anatolian Journal of Psychiatry. 2019;20:426-35. [Crossref] 
  14. Geense WW, van Gaal BGI, Knoll JL, Cornelissen EAM, van Achterberg T. The support needs of parents having a child with a chronic kidney disease: a focus group study. Child Care Health Dev. 2017;43(6):831-8. [Crossref]  [PubMed] 
  15. Chandler JA, Connors M, Holland G, Shemie SD. "Effective" requesting: a scoping review of the literature on asking families to consent to or gan and tissue donation. Transplantation. 2017;101(5S Suppl 1):S1-S16. [Crossref]  [PubMed] 
  16. Przech S, Garg AX, Arnold JB, Barnieh L, Cuerden MS, Dipchand C, et al; Donor nephrectomy outcomes research (DONOR) network. Financial costs ıncurred by living kidney donors: a prospective cohort study. J Am Soc Nephrol. 2018;29(12):2847-57. [Crossref]  [PubMed]  [PMC] 
  17. Thys K, Schwering KL, Siebelink M, Dobbels F, Borry P, Schotsmans P, et al; ELPAT Pediatric Organ Donation and Transplantation Working Group. Psychosocial impact of pediatric living-donor kidney and liver transplantation on recipients, donors, and the family: a systematic review. Transpl Int. 2015;28(3): 270-80. [Crossref]  [PubMed] 
  18. Jones J, Damery S, Allen K, Nicholas J, Baharani J, Combes G. 'You have got a foreign body in there': renal transplantation, unexpected mild-to-moderate distress and patients' support needs: a qualitative study. BMJ Open. 2020;10(3):e035627. [Crossref]  [PubMed]  [PMC] 
  19. WHO [İnternet]. © 2021 WHO [Erişim tarihi: 28.04.2020]. Global research on coronavirus disease (COVID-19). Erişim linki: [Link] 
  20. O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89(9):1245-51. [Crossref]  [PubMed] 
  21. Zengin M, Yayan EH, Akıncı A. Difficulties experienced by turkish parents and their coping strategies: children with mucopolysaccharidosis. J Pediatr Nurs. 2020;53:e142-e8. [Crossref]  [PubMed] 
  22. Baltacı A. Nitel Veri analizinde Miles-Huberman modeli [Miles-Huberman model in qualitative data analysis]. Ahi Evran Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2017;3(1):1-15. [Link] 
  23. Jeong H, Othman J. Using interpretative phenomenological analysis from a realist perspective. The Qualitative Report. 2016;21(3):558-70. [Crossref] 
  24. Yağar F, Dökme S. Niteliksel araştırmaların planlanması: Araştırma soruları, örneklem seçimi, geçerlik ve güvenirlik [Planning of qualitative researches: research questions, samples, validity and reliability]. Gazi Sağlık Bilimleri Dergisi. 2018;3(3):1-9. [Link] 
  25. Sarıkaya Karabudak S, Conk Z. Diyaliz tedavisi alan çocuğun hastalığının ebeveynler üzerindeki biyopsikososyal etkilerinin fenomenolojik olarak belirlenmesi [The phenomenologically determination of biopsychosocial impact of child's disease on parents in case of dialises child]. Hemşirelik Bilimi Dergisi. 2018;1(3):7-20. [Link] 
  26. Doğan S, Çelik E, Öztürk K, Aydemir S. Çocukları böbrek transplantasyonu olan ailelerin psikolojik dayanıklılığı [Psychological resilience of families with children with kidney transplantation]. Turk Nefroloji, Diyaliz ve Transplantasyon Hemsireleri Dernegi. 2020; 15(3):240-50. [Crossref] 
  27. Rojas J. Lived experience of hemodialysis patients in the middle east countries: a thematic synthesis. IJARIIE- ISSN(0). 2017;3(3):1101-7. [Link] 
  28. Pourghaznein T, Heydari A, Manzari Z, ValizadehZare N. "Immersion in an ocean of psychological tension:"The voices of mothers with children undergoing hemodialysis. Iran J Nurs Midwifery Res. 2018;23(4):253-60. [Crossref]  [PubMed]  [PMC] 
  29. Sari D, Allenidekania, Afiyanti Y. Family experience in treating children with chronic renal failure undergoing hemodialysis therapy. Enfermería Clínica. 2018;28:321-4. [Crossref] 
  30. Yıldız A, Şahan S. Çocuklarda periton diyalizi enfeksiyonlarının önlenmesi [Prevention of peritoneal dialysis infections at children]. Nefroloji Hemşireliği Dergisi. 2020;15(2):116-21. [Crossref] 
  31. Fujimoto K, Adachi H, Yamazaki K, Nomura K, Saito A, Matsumoto Y, et al. Comparison of the pain-reducing effects of EMLA cream and of lidocaine tape during arteriovenous fistula puncture in patients undergoing hemodialysis: A multi-center, open-label, randomized cros sover trial. PLoS One. 2020;15(3): e0230372. [Crossref]  [PubMed]  [PMC] 
  32. Walker RC, Tong A, Howard K, Darby N, Palmer SC. Patients' and caregivers' expectations and experiences of remote monitoring for peritoneal dialysis: A qualitative interview study. Perit Dial Int. 2020;40(6):540-7. [Crossref]  [PubMed] 
  33. Başer E, Mollaoğlu M. The effect of a hemodialysis patient education program on fluid control and dietary compliance. Hemodial Int. 2019;23(3):392-401. [Crossref]  [PubMed] 
  34. Robinski M, Mau W, Wienke A, Girndt M. Shared decision-making in chronic kidney disease: A retrospection of recently initiated dialysis patients in Germany. Patient Educ Couns. 2016;99(4):562-70. [Crossref]  [PubMed] 

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com